IMCI

• Steps in the IMCI Case Management Process:

• Assess and Classify
• Identify Treatment
• Treat
• Counsel the Mother
• Follow-Up
FEVER Ask:
Pus in the eye? Measles ---Conjunctivitis
Mouth Ulcer ?
ASSESSMENT CLASSIFICATION MANAGEMENT
-Clouding of the eyes / SEVERE COMPLICATED 1. Antibiotic
Cornea MEASLES 2. Urgent referral
- Deep mouth Ulcer 3. Tetracycline
4. Paracetamol
5. Vit A

Pus in the eyes MEASLES WITH 1. Tetracylcine

Mouth Ulcers COMPLICATION 2. Vit A
3. Paracetamol
4. Gentian Violet

Measles now or withn the MEASLES 1. Vit A

last 3 months 2. paracetamol
FEVER: Ear Infection
Ask: Tenderness, Pain , Pus???

ASSESSMENT CLASSIFICATION MANAGEMENT

Tenderness Maistoiditis 1. Antibiotic ( Cotri and Amox)
2. Referral
3. Paracetamol
Pain, Pus < 14 days Acute Ear Infection 1. Paracetamol
2. Ear wicking
3. Antibiotic for 5 days
4. ff up 5 days

Pain Pus , > 14 days Chronic Ear Infection 1. Ear wicking.

2. quinolone eardrops for 2 weeks
3. Follow-up in 5 days.
No pain, no pus No ear infection 1. No treatment
FEVER:
Ask: Bleeding? Abdominal Pain?

ASSESSMENT CLASSIFICATION MANAGEMENT

Bleeding Severe Dengue 1. Referal
Abdominal Pain 2. ORS
3. Paracetamol
Blood in the stool / Dengue 1. ORS
gums 2. Paracetamol
3. Follow up 2 days
Malnutrition
ASSESSMENT CLASSIFICATION MANAGEMENT
Palmar Pallor Severe Anemia 1. Refer urgently to
hospital

Some Pallor Anemia 1. Mebendazole

2. Iron
3. Ff up in 14 days

No palmar pallor No Anemia 1. Feeding counsel

2. follow-up in 5 days
Malnutrition
ASSESSMENT CLASSIFICATION MANAGEMENT
Visible severe wasting or SEVERE 1.Refer URGENTLY to a
• Edema of both feet MALNUTRITION hospital
2. Breast feeding
3. Vit A

Very low weight for age VERY LOW 1. Feeding counsel

WEIGHT 2. Advice mother
when to return
3. Ff up 30 days

Not very low weight for NOT VERY 1. Feeding counsel

age and LOW WEIGH 2. Ff up in 5 days
no other signs of
malnutrition
1 week to 2 months
Infection
ASSESSMENT CLASSIFICATION MANAGEMENT
Convulsion Serious bacteria; 1. Antibiotic
Infection 2. Refer immediately
Red umbilical Cord

Red umbilical Cord Local Infection 1. Antibiotic

2. Follow up 2 days
3. Paracetamol if
indicated

No Signs of infection No infection 1. No treatment

Home Management
Umbilical Cord Skin Pustule Oral Thrush
Infection
70 % Cleanse / dry Wash with Salt
isoprophyl Solution
Alcohol
Hand Washing
Gentian Violet
Hand Washing